Distal Middle Cerebral Artery M4 Aneurysm Surgery Using Navigation-CT Angiography
Journal of Korean Neurosurgical Society
;
: 478-480, 2007.
Article
in English
| WPRIM
| ID: wpr-102024
ABSTRACT
Unruptured non-traumatic dissecting aneurysm in the M4 segment of the middle cerebral artery (MCA) accompanied by complete occlusion of the ipsilateral internal cerebral artery (ICA) has never been reported. A 41-year-old man presented with an infarction manifesting as left-sided weakness and dysarthria. Magnetic resonance angiography revealed a subacute stage infarction in the right MCA territory and complete occlusion of the right ICA. Angiography demonstrated aneurysmal dilatation of the M4 segment of the right MCA. Surgery was performed to prevent hemorrhage from the aneurysm. The aneurysm was proximally clipped guided by Navigation-CT angiography and flow to the distal MCA was restored by superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis. We report this rare case with literature review.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Angiography
/
Intracranial Aneurysm
/
Cerebral Arteries
/
Magnetic Resonance Angiography
/
Middle Cerebral Artery
/
Dilatation
/
Dysarthria
/
Hemorrhage
/
Infarction
/
Aneurysm
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2007
Type:
Article
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